hip TROCHANTERIC BURSITIS

DEFINITION:

An inflammatory process involving a fluid filled sac (bursa), which normally acts as a cushion between the bone and soft tissues (muscle and tendons), located on the lateral (outside) aspect of the hip bone (greater trochanter). (See illustration).

MECHANISM OF INJURY / HOW IT OCCURS:

Often seen in runners and cyclists.

Can be exacerbated with stair climbing.

Direct trauma to the outside region of the hip, such as during a fall, can result in symptoms.

SYMPTOMS:

Individuals will present with a complaint of pain over the outer aspect of the hip.

Direct pressure, as when lying on the affected side, will exacerbate the symptoms.

Getting up from a seated position will exacerbate the symptoms.

DIAGNOSIS:

Physical examination will reveal tenderness over the greater trochanteric region of the hip.

May see swelling, warmth, and redness (erythema).

Plain x-rays are of benefit, especially if trauma occurred, to determine if a fracture occurred.

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